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43626

Early Outcome Following Modified Blalock-Taussig Shunt in Cyanotic Congenital Heart Diseases: Determinants of Morbidity and Mortality

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Last updated: 04 Jan 2025

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Abstract

Background: Modified Blalock-Taussig Shunt is the most commonly used palliative shunt procedure in congenital heart disorders and is associated with significant morbidity and mortality. Aim: to improve the outcome following this surgical intervention. Subjects and Methods: Data about all children undergoing Modified Blalock-Taussig Shunt in Suez Canal University Hospitals and Cairo University Specialized Children Hospital in the time interval between March 2014 and February 2015 has been collected in three phases; pre- intra- and post-operatively then analyzed statistically. Results: Mortality in our study was 50%. The main risk factors for mortality in our study were weight urgency pre-operative prostene infusion cardiopulmonary bypass graft size and wound infection. Regarding shunt occlusion weight shunt size and intra-operative administration of protamine were statistically significant risk factors. Conclusion: Mortality rates decreased significantly with increasing weight. Cardiopulmonary Bypass graft size and wound infection were noted to be definite risk factors for mortality. Regarding acute shunt occlusion risk factors of statistical importance were weight intra-operative protamine and graft size.  

DOI

10.21608/scumj.2017.43626

Keywords

Cyanosis palliative Shunt Cardiopulmonary Bypass

Authors

First Name

Shady

Last Name

Abdelmoneim

MiddleName

-

Affiliation

Department of Cardiothoracic Surgery, Faculty of Medicine, Suez Canal University, Egypt

Email

dr.shady.mcts@gmail.com

City

-

Orcid

-

First Name

Hany

Last Name

Faisal

MiddleName

-

Affiliation

Department of Cardiothoracic Surgery, Faculty of Medicine, Suez Canal University, Egypt

Email

-

City

-

Orcid

-

First Name

Hassan

Last Name

Hassan

MiddleName

-

Affiliation

Department of Cardiothoracic Surgery, Faculty of Medicine, Suez Canal University, Egypt

Email

-

City

-

Orcid

-

First Name

Hany

Last Name

El-Domiaty

MiddleName

-

Affiliation

Department of Cardiothoracic Surgery, Faculty of Medicine, Suez Canal University, Egypt

Email

-

City

-

Orcid

-

Volume

20

Article Issue

2

Related Issue

6812

Issue Date

2017-10-01

Receive Date

2019-08-03

Publish Date

2017-10-01

Page Start

177

Page End

189

Print ISSN

1110-6999

Online ISSN

2090-2581

Article File

SCUMJ_Volume 20_Issue 2_Pages 177-189.pdf

PDF . 386.3kB

Link

https://scumj.journals.ekb.eg/article_43626.html

Detail API

https://scumj.journals.ekb.eg/service?article_code=43626

Order

7

Type

Original Article

Type Code

938

Publication Type

Journal

Publication Title

Suez Canal University Medical Journal

Publication Link

https://scumj.journals.ekb.eg/

MainTitle

Early Outcome Following Modified Blalock-Taussig Shunt in Cyanotic Congenital Heart Diseases: Determinants of Morbidity and Mortality

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Type

Article

Created At

22 Jan 2023